Jenna P Cope, MPH, RD, LD | |
Hwy 491 North, P.o. Box 160, Shiprock, NM 87420 | |
(505) 368-6001 | |
Not Available |
Full Name | Jenna P Cope |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | Hwy 491 North, Shiprock, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407375587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | LD-1148 (New Mexico) | Secondary |
133V00000X | Dietitian, Registered | LD-1148 (New Mexico) | Primary |
Provider Name | Dhhs Phs Naihs Shiprock Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Mailing Address | Practice Location Address |
---|---|
Jenna P Cope, MPH, RD, LD Hwy 491 North, P.o. Box 160, Shiprock, NM 87420 Ph: (505) 368-6001 | Jenna P Cope, MPH, RD, LD Hwy 491 North, P.o. Box 160, Shiprock, NM 87420 Ph: (505) 368-6001 |
Ms. Lorraine Whitehair, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Us Highway 491 N, Shiprock, NM 87420 Phone: 505-368-6020 Fax: 505-368-6431 | |
Mr. Lawrence P Forman Iii, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Us Highway 491 North, Shiprock, NM 87420 Phone: 505-368-6204 Fax: 505-368-6265 | |
Ms. Holli M Scott, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 N, Shiprock, NM 87420 Phone: 505-368-6020 Fax: 505-368-6431 | |
Kerrianne Ashley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001 | |
Amber Desbah Yazzie, RDN Dietitian Medicare: Medicare Enrolled Practice Location: Us Hwy 491, Shiprock, NM 87420 Phone: 928-368-6205 | |
Mr. Joseph Farar, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 Phone: 505-368-6001 |